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Why are you less stringent with your older patients?

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Most of the articles I read in Medpage still focus on lowering dietary sodium intake only, with no mention of potassium. IMO, this is not very useful, as people are not compliant when not in a study (and sometimes not even when they ARE in a study). The US FDA is considering a proposal to allow salt substitutes with potassium to be added to foods by manufacturers, but there are some advocates who say this will cause harm to people with CKD (link #1). According to the second link, potassium might be more helpful to those in the earlier stages of CKD, but not helpful and maybe even harmful to those in the later stages. Given how common CKD is in diabetes, and some do not even know they have it, it seems like this is a caution that doctors should tell their patients about, and test for hyperkalemia if a potassium added salt substitute is used. More research is needed to determine whether salt substitutes for those with CKD are recommended or not, with perhaps refinement of which stage of CKD.

https://www.statnews.com/2023/08/15/patient-advocates-warn-fda-proposal-on-salt-intake-kidney-disease/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9395506/

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Can't argue with that!

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